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- SH is a premenarchal 12-year-old female who has a 6-week complaint of difficulty concentrating, loss of appetite, and insomnia. Her mother notes that SH has stopped talking to her friends and seems “very withdrawn.†There are no recent changes in the family and no history of trauma. What do you believe this patient’s diagnosis is? What are the appropriate steps to screen and evaluate this patient? What management will you recommend?
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